Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $44.74 / $183.16	Professional		$34.18	$44.74	$183.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.15 / $61.43 / $103.57	Professional		$42.15	$61.43	$103.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.64 / $44.16 / $75.05	Professional		$34.64	$44.16	$75.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.54 / $159.27 / $201.68	Professional		$102.54	$159.27	$201.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $80.03 / $99.65 / $124.43	Professional		$80.03	$99.65	$124.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $33.88 / $49.47	Professional		$25.48	$33.88	$49.47
United Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $45.15 / $82.57	Professional		$28.46	$45.15	$82.57